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[将复杂诊断神经放射科整合到神经外科诊所的构想经验(一种新型功能与结构解决方案的模式)]

[Experiences from the conception of a complex-diagnostic neuroradiologic department integrated into a neurosurgical clinic (model of a novel functional and structural solution)].

作者信息

Winkelmann H, Espich G

出版信息

Zentralbl Neurochir. 1977;38(1):43-52.

PMID:921845
Abstract

For planning and designing the reconstruction of an superannuated radiological department of a neurosurgical supra-regional hospital the following requirements had to be taken into account: 1. Complex-diagnostic working style of a neuroradiological department integrated in the hospital complex. 2. Ensuring of a comprehensive operative-technical examination programme by appropriately equipped work places. 3. The aim to improve the working conditions of the personnel and the medical care of the population. The ideal solution was achieved by an extension of the neurosurgical clinic in the form of a diagnostic tract comprising neurosurgical O.P.D. and an after-care department, electro-diagnostic and neuroradiological departments. In the centre of the novel solution there is the function tract of the neuraradiological department in which the complex building method enables a clear division into main zones (patients zone, function zone, personnel zone). It ensures economical working for the benefit of both patients and personnel. Charts showing the sequence of operations and graphic representations of the constructional solution as well as recommendations for equipment standards for the work places illustrate the project, which is certainly suitable for serving as an internation model of similar special establishments of public health services.

摘要

为规划和设计一家神经外科区域医院老旧放射科的重建工作,必须考虑以下要求:1. 医院综合体内神经放射科的复杂诊断工作模式。2. 通过配备适当的工作场所确保全面的手术技术检查程序。3. 改善工作人员工作条件和民众医疗服务的目标。理想的解决方案是通过扩建神经外科诊所来实现,扩建形式为一个诊断区,包括神经外科门诊部、康复部、电诊断科和神经放射科。新方案的核心是神经放射科的功能区,其综合建筑方法能够清晰地划分为主要区域(患者区、功能区、人员区)。这确保了工作的经济性,对患者和工作人员都有益。展示手术流程的图表、建筑解决方案的图形表示以及工作场所设备标准建议说明了该项目,该项目无疑适合作为公共卫生服务类似特殊机构的国际典范。

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